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27-06-2018 | Brief Communication

Cross-cultural validation of the German version of the Four-Dimensional Symptom Questionnaire (4DSQ) in multimorbid elderly people

Auteurs: Anna Exner, Maria Kleinstäuber, Wolfgang Maier, Angela Fuchs, Juliana J. Petersen, Ingmar Schäfer, Jochen Gensichen, Steffi G. Riedel-Heller, Siegfried Weyerer, Horst Bickel, Hans-Helmut König, Birgitt Wiese, Gerhard Schön, Martin Scherer, Hendrik van den Bussche, Berend Terluin

Gepubliceerd in: Quality of Life Research | Uitgave 10/2018

Abstract

Purpose

Psychosomatic symptoms and mental health problems are highly prevalent in multimorbid elderly people challenging general practitioners to differentiate between normal stress and psychopathological conditions. The 4DSQ is a Dutch questionnaire developed to detect anxiety, depression, somatization, and distress in primary care. This study aims to analyze measurement equivalence between a German version and the original Dutch instrument.

Methods

A Dutch and a German sample of multimorbid elderly people, matched by gender and age, were analyzed. Equivalence of scale structures was assessed by confirmatory factor analysis (CFA). To evaluate measurement equivalence across languages, differential item functioning (DIF) was analyzed using Mantel–Haenszel method and hybrid ordinal logistic regression analysis. Differential test functioning (DTF) was assessed using Rasch analysis.

Results

A total of 185 German and 185 Dutch participants completed the questionnaire. The CFA confirmed one-factor models for all scales of both 4DSQ versions. Nine items in three scales were flagged with DIF. The anxiety scale showed to be free of DIF. DTF analysis revealed negligible scale impact of DIF.

Conclusions

The German 4DSQ demonstrated measurement equivalence to the original Dutch instrument. Hence, it can be considered a valid questionnaire for the screening for mental health problems in primary care.

vorige artikel Fatigue in the general population: German normative values of the EORTC QLQ-FA12

volgende artikel Negligible impact of differential item functioning between Black and White dialysis patients on the Kidney Disease Quality of Life 36-item short form survey (KDQOLTM-36)

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Titel: Cross-cultural validation of the German version of the Four-Dimensional Symptom Questionnaire (4DSQ) in multimorbid elderly people
Auteurs: Anna Exner
Maria Kleinstäuber
Wolfgang Maier
Angela Fuchs
Juliana J. Petersen
Ingmar Schäfer
Jochen Gensichen
Steffi G. Riedel-Heller
Siegfried Weyerer
Horst Bickel
Hans-Helmut König
Birgitt Wiese
Gerhard Schön
Martin Scherer
Hendrik van den Bussche
Berend Terluin
Publicatiedatum: 27-06-2018
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 10/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-018-1924-2

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Abstract

Purpose

Methods

Results

Conclusions

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